| Dr Avery J Knapp Jr, MD | |
|
524 Tintillo Hills, Guaynabo, PR 00966 | |
| (646) 623-1020 | |
| Not Available |
| Full Name | Dr Avery J Knapp Jr |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 524 Tintillo Hills, Guaynabo, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255594289 | NPI | - | NPPES |
| 179157001 | Medicaid | AR | |
| 200251220A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | E6198 (Arkansas) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | A104534 (California) | Secondary |
| Entity Name | Elite Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376819888 PECOS PAC ID: 2466496880 Enrollment ID: O20050616000704 |
| Entity Name | Rose Radiology Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629162904 PECOS PAC ID: 2961451315 Enrollment ID: O20141022002331 |
| Entity Name | Radiology Imaging Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952763971 PECOS PAC ID: 0244529030 Enrollment ID: O20160518000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Avery J Knapp Jr, MD 3031 Jasmine Ct, Delray Beach, FL 33483-4701 Ph: (646) 623-1020 | Dr Avery J Knapp Jr, MD 524 Tintillo Hills, Guaynabo, PR 00966 Ph: (646) 623-1020 |
Dr. Alejandro Lopez Araujo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Urbanizacion Bucare, Calle Onix #31, Guaynabo, PR 00969 Phone: 787-638-9272 | |
Alejandra Maria Ramirez-colom, Radiology Medicare: Medicare Enrolled Practice Location: B43 Calle B, Guaynabo, PR 00969 Phone: 787-525-7552 | |
Mrs. Irma Nydia Colon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 202 Ave Esmeralda, Urb Ponce De Leon, Guaynabo, PR 00969 Phone: 787-272-5656 Fax: 787-720-3232 | |
Dr. Francisco Antonio Viejo Rullan, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 14 Calle Reina De Las Flores, Estancias De Torrimar, Guaynabo, PR 00966 Phone: 787-785-8034 | |
Dr. Marigdalia Ramirez-fort, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 36 Calle Tropical, Guaynabo, PR 00969 Phone: 718-221-5856 | |
Dr. Manuel R Prats Vega, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6 Calle Carazo, Guaynabo, PR 00969 Phone: 787-272-3182 Fax: 787-708-2588 |